Surveillance Forms

For Health Care Professional use only

Enhanced Surveillance Form for Confirmed Hospitalised Influenza cases aged 0-14 years

Publication Date: 13 February 2018

Surveillance form for outbreaks/clusters of Influenza-like illness and Influenza

File Size: (63kB)
Publication Date: 13 January 2012

Influenza and COVID-19 enhanced surveillance critical care neonatal & paediatric (0-14 years) Admission and Discharge Form

File Size: (745kB)
Publication Date: 02 August 2023

Influenza and COVID-19 enhanced surveillance critical care adult Admission & Discharge Form

File Size: (1.1MB)
Publication Date: 24 February 2023

Influenza and COVID-19 enhanced surveillance critical care neonatal & paediatric (0-14 years) admission form [Word version]

File Size: (101kB)
Publication Date: 02 August 2023

Influenza and COVID-19 enhanced surveillance critical care neonatal & paediatric (0-14 years) discharge form [Word version]

File Size: (74kB)
Publication Date: 02 August 2023

Influenza and COVID-19 enhanced surveillance critical care adult admission form [Word version]

File Size: (220kB)
Publication Date: 24 February 2023

Influenza and COVID-19 enhanced surveillance critical care adult discharge form [Word version]

File Size: (138kB)
Publication Date: 24 February 2023